Organization
LAKE MARTIN CHIROPRACTIC HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN M PEADEN DC (CHIROPRACTOR/ DC/ OWNER)
(334) 458-2633
Entity
Organization
Contact information
Practice address
8341 KOWALIGA RD, ECLECTIC, AL 36024-3749
(334) 458-2633
Mailing address
8341 KOWALIGA RD, ECLECTIC, AL 36024-3749
(334) 458-2633
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2516
AL
Other
Enumeration date
08/14/2017
Last updated
12/11/2017
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